Individual
MRS. DIANE LYNN EGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., C.C.C.-A
Contact information
Practice address
435 N MULFORD RD, ROCKFORD, IL 61107-5189
(815) 399-5279
(815) 399-3764
Mailing address
435 N MULFORD RD, ROCKFORD, IL 61107-5189
(815) 399-5279
(815) 399-3764
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000519
IL
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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